Individual provider · Type 1 NPI

Jonathan Bradley

Student in an Organized Health Care Education/Training Program · Corcoran, CA

NPI number 1104796481 Active

Practice location

4001 King Ave
Corcoran, CA 93212-9611

Call (559) 992-8800 Map

Mailing address

1201 2nd St
Wasco, CA 93280-1310

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1104796481

Jonathan Bradley's National Provider Identifier is 1104796481, issued on Nov 11, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Corcoran, CA. The record was last updated on Nov 11, 2025.